A patient hospitalized for heart failure exacerbation has been receiving 40 mg furosemide IV twice daily. What statement by the client would alert the nurse to a possible toxic effect of this medication?

My stomach is distended, and I haven't had a bowel movement in 3 days

This IV site seems irritated, it's red and painful

Everything has started sounding muffled, I'm having difficulty hearing

I feel like I've done nothing but urinate since I've been here

Answer and Explanation

The Correct Answer is C

Choice A reason: This choice is incorrect because stomach distension and constipation are not common side effects of furosemide. They may be related to other causes, such as diet, fluid intake, or medication interactions. The nurse should assess the client's abdominal status and bowel habits and provide appropriate interventions, such as increasing fiber, fluids, or laxatives.

Choice B reason: This choice is incorrect because IV site irritation, redness, and pain are not specific side effects of furosemide. They may be caused by other factors, such as infection, infiltration, or phlebitis. The nurse should inspect the IV site and catheter and change them if needed. The nurse should also monitor the client's vital signs and blood cultures for signs of infection.

Choice C reason: This choice is correct because hearing loss or impairment is a rare but serious side effect of furosemide. It can occur due to damage to the inner ear or the auditory nerve. It may be temporary or permanent, depending on the dose and duration of furosemide therapy. The nurse should stop the infusion of furosemide and notify the provider immediately. The nurse should also assess the client's hearing and balance and provide safety measures.

Choice D reason: This choice is incorrect because frequent urination is an expected effect of furosemide. Furosemide is a diuretic that increases the excretion of water and electrolytes through the urine. It helps to reduce fluid overload and edema in clients with heart failure. The nurse should measure and record the client's intake and output and monitor the client's fluid and electrolyte status.

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Free Nursing Study Resources

Correct Answer is ["0.71"]

Explanation

To calculate how many milliliters (mL) of the reconstituted medication the nurse should administer, we can use the following formula:

Desired dose (in mg) / Stock concentration (in mg/mL) = Volume to administer (in mL)

Given information:

Desired dose of ceftriaxone: 250 mg

Stock concentration after reconstitution: 350 mg/mL

Now let's calculate the volume to administer:

250 mg / 350 mg/mL = 0.7143 mL

Rounding to the nearest hundredth, the nurse should administer 0.71 mL of the reconstituted medication.

A. Excessive urination B. Excessive thirst C. Diaphoresis D. Atrial fibrillation E. Excessive hunger

Correct Answer is ["A","B","E"]

Explanation

Choice A reason: Excessive urination is a sign of hyperglycemia because the body tries to flush out the excess glucose in the blood through the urine. This can also lead to dehydration and electrolyte imbalance.

Choice B reason: Excessive thirst is a sign of hyperglycemia because the body loses fluid and becomes dehydrated due to frequent urination. The thirst mechanism is activated to replenish the fluid loss.

Choice C reason: Diaphoresis is not a sign of hyperglycemia, but rather a sign of hypoglycemia (low blood sugar). Hypoglycemia can cause sweating, shakiness, anxiety, and confusion.

Choice D reason: Atrial fibrillation is not a sign of hyperglycemia, but rather a possible complication of hyperglycemia. Hyperglycemia can damage the blood vessels and the heart, increasing the risk of arrhythmias, such as atrial fibrillation.

Choice E reason: Excessive hunger is a sign of hyperglycemia because the body is unable to use the glucose in the blood for energy. The cells are starved of fuel, and the hunger signal is triggered to stimulate food intake..

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A patient hospitalized for heart failure exacerbation has been receiving 40 mg furosemide IV twice daily. What statement by the client would alert the nurse to a possible toxic effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["0.71"]

Explanation

A patient taking somatropin growth hormone needs to be educated on signs and symptoms of hyperglycemia. What will the nurse include in this teaching? SELECT ALL THAT APPLY

Correct Answer is ["A","B","E"]

Explanation

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